Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn Jane Clarke

Individual provider Registered Nurse · NPI 1831642438

Kathryn Jane Clarke is a Nurse Practitioner in New Haven, Connecticut. Qualified in 2015, 11 years ago. Practices with Fair Haven Community Health Clinic Inc, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, Virginia and Washington.

Years since qualifying
11
Licensed in
CT, VA, WA
In the registry since
2016
Specialties on file
5

Practice location Address checks out

374 Grand Ave
New Haven, CT 06513-3733
Phone: (206) 512-6556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 47 Long Lots Rd, Westport, CT 06880-3828 — (203) 227-1251

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024175369 (VA)
Registered Nurse Taxonomy 163W00000X · Licence RN 60141168 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 0001275652 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 227652 (CT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 14226 (CT)

Record details

NPI number1831642438
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2016
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address374 Grand Ave Bldg B, New Haven, CT 06513-3733

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fair Haven Community Health Clinic Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in New Haven